WESTVALE ELEMENTARY

VACATION/EDUCATIONAL LEAVE

The law allows a student(s) to be absent 10 days without being withdrawn if the vacation/educational leave form is completed prior to leaving.

Student Name: ____________________________

Teacher:  ________________________________

Vacation/Education Leave will be

From ________________  to  __________________

We are going to ________________________________

Please contact your child’s teacher to get assignments that will need to be completed either before or after the Vacation/Educational Leave by the due date.  If you would like assignments prior to your leave, you must give the teacher 24-hours notice.

I understand that my child will be responsible to make up missing assignments.

Parent Signature ______________________Date______


Office Signature_______________________Date_____